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Jan 10, 2003 

Comfort Sails to Take Care to Troops 

http : / /navymedicine . med . navy . mil/mednews . cfm?iss=94&art=01 
Comfort Rescues Stranded Fisherman 
Yokosuka Claims First Navy Baby Rights 

http : / /navymedicine . med . navy . mil/mednews . cfm?iss=94&art=03 
DOD Establishes Health Information Security Task Force 
Beaufort Doc Aids in "Full Accounting" 

http : / /navymedicine . med . navy . mil/mednews . cfm?iss=94&art=05 
50 Selected for Medical Enlisted Commissioning Program 
Aviation Survival Training Center Awarded MUC 
Coastie Completes Navy Dental Training 
Kilted Navy Medicine Analyst Tosses, Throws and Puts 
http : / /navymedicine . med . navy . mil/mednews . cfm?iss=94&art=09 
Theater Medical Information Program Benefits War Fighter 
TRICARE Handbook Now Interactive 
Healthwatch: Surviving Winter's Cold 


Comfort Sails to Take Care to Troops 

From Bureau of Medicine and Surgery Public Affairs 

BALTIMORE - USNS Comfort (T—AH 20) sailed from 
Baltimore Monday, preparing to bring care to the troops 
who will be fighting the war on terrorism. 

Aboard the ship were about 225 Navy Medicine 
healthcare providers and support personnel, most from 
National Naval Medical Center Bethesda. They will 
prepare the ship's medical treatment facility for future 
contingencies . 

The Comfort ' s last unplanned activation came on 
the afternoon of Sept. 11, 2001, when it was notified to 
activate in response to the terrorist attacks in New 
York City. The ship departed for New York the next day 
with the intention of serving as a floating hospital . 
With few survivors to treat, the ship quickly adapted to 
becoming a support center - what Navy Surgeon General 
Vice Adm. Michael L. Cowan, Medical Corps, called a 
"Comfort inn " - for rescue and recovery workers . 

As many as 900 additional Navy Medicine staff is 
expected to join the ship after it has completed its 
ocean transit . They will come from Navy medical 
facilities from up and down the East Coast and as far 
west as Great Lakes, 111 . 

Fully activated, Comfort is a 1, OOO-bed medical 
facility, which makes it one of thee largest trauma 
centers in the U.S. It is also prepared to cope with 

effects of a chemical or biological attack. 

According to MTF Comfort ' s Commanding Officer, 
Capt . Charles Blankenship, Medical Corps, the ship can 
accept as many as 300 casualties in one day, with 200 
more the following day, and 100 more on subsequent days. 
He says they are ready. 

"We always train to the worst-case scenario, " said 
Blankenship . 

While underway, Comfort crew and medical staff will 
receive anthrax and smallpox vaccinations . 


Comfort Rescues Fisherman From Sea 
From USNS Comfort Public Affairs 

AT SEA - USNS Comfort, just days at sea, already 
successfully completed its first lifesaving mission by 
plucking a Bermudan fisherman from the sea after his 
boat sank in rough seas. 

Responding to a call from assistance by the U.S. 
Coast Guard, Comfort changed course, found the victim, 
and brought him safely aboard, despite 12 to 15 foot 

Comfort medical staff treated rescued fisherman 
Robert Lambe for minor hypothermia. He is in good 
condition . 

The whereabouts of two other fishermen who were 
also on the boat when it sank is unknown. 


Yokosuka Claims First Navy Baby Rights 

By Bill Doughty, U.S. Naval Hospital, Yokosuka, Japan 

YOKOSUKA, Japan - Other babies at naval medical 
facilities may have been born closer to midnight, but 
since the day arrives first in the Far East, Corina 
Aiyana Limon, born at 5:47 a.m. on Jan. 1, 2003 at U. S. 
Naval Hospital Yokosuka, is the first Navy baby of the 
new year. 

According to other military hospitals in the Far 
East, she's also the first U.S. military baby worldwide. 

Corina Aiyana ' s mother, Information Systems 
Technician 2nd Class Petty Officer Ramona Limon, is 
stationed at U.S. Naval Computer and Telecommunications 
Station, Far East in Yokosuka. Dad is Damage Controlman 
2nd Class Petty Officer Edgardo Limon, serving in USS 
Blue Ridge, the forward-deployed flagship of the U.S. 
Seventh Fleet . 

Baby Corina is named after Ramona 's mom. 

"When I called (mom) and told her my baby's name is 
Corina, she cried and had to regain her composure, " said 
Ramona . "She handed the phone to my grandma . " 

Edgardo called his shipmates at Damage Control 
Central to give them the good news. 

"Yeah, I called as soon as the baby was born, " he 
said. "They were passing the phone around, 'hey, 
congratulations, congratulations! '" 

Edgardo said he was pleased with the family 
centered care at the naval hospital. The couple was 

able to stay together with their baby in a private room. 

"They encouraged us to ask questions, " said 
Edgardo. "They keep coming in and seeing how the baby's 
doing. The nurses were real cool with my wife. They 
were encouraging her and telling her it would be all 
right. I think it was really, really good." 

Corina Aiyana entered the world with help from 
attending physician Lt . Cmdr. Christopher Reed, Medical 
Corps, head of obstetrics and gynecology, who was on 
duty in the early hours of Jan. 1, 2003. The Limons ' 
primary care provider is Lt . Paul Hladon, Medical Corps, 
a family medicine physician . 

"We work together as a team, from all the nurses 
and corpsmen, to the different disciplines - obstetrics, 
pediatrics and family practitioners, " said Hladon. "We 
have about 600 deliveries here a year. It ' s our meat 
and potatoes at this hospital, and I think as a team we 
accomplish it very well . " 

Two other babies were born on New Year's Day at 
Yokosuka . 


DOD Establishes Health Information Security Task Force 
From Department of Defense Public Affairs 

WASHINGTON - In its continued response to the 
criminal theft of computer equipment and personal 
identification information contained on some of this 
equipment, the Department of Defense announced this week 
additional steps to enhance patient protection from 
unauthorized access to or criminal use of sensitive 
personal information . 

"Electronic sharing of health care information 
provides great advances in patient safety, in reduced 
errors in claims processing, and in improved customer 
service. But, there are risks in electronic 
communications that must be identified and measures 
implemented to prevent or manage those risks, " said 
William Winkenwerder Jr., assistant secretary of defense 
for health affairs. "Working with our contractor, 
TriWest, I am pleased to report that we have initiated 
contact with all 562, 000 beneficiaries who had their 
personal information stolen. These efforts to quickly 
identify and inform beneficiaries should help deter or 
prevent identify theft crimes. " 

Winkenwerder cited a number of steps that will 
inform and help beneficiaries protect themselves from 
criminal use of their personal information . 

- All 562, 000 military beneficiaries whose 
information was contained on the computer files have 
been notified by mail of the theft by Dec. 31, 2002, and 
informed of the actions they should take to protect 
themselves from identity theft or other misuse of their 
personal information . 

- Fewer than 25 persons also may have had personal 
credit card information compromised. Each of these 
individuals has been contacted by phone and informed of 
the incident and proper actions to take in response. 

- Every TRICARE contractor worldwide has been 
notified of the theft, and directed by DoD to conduct an 
assessment of information security procedures. DoD will 
evaluate each assessment with its contractors. 

- The criminal investigation remains active, led by 
the Defense Criminal Investigative Service and supported 
by the U.S. Attorney in Phoenix, the Federal Bureau of 
Investigation, and other law enforcement agencies. 
TriWest has posted a $100, 000 reward for information 
leading to the arrest and successful prosecution of the 
perpetrators and return of the stolen items. 

Winkenwerder stated that he has focused efforts on 
heightening information security throughout the health 
care system. 

"Although this incident has raised patient concerns 
about the security of their military medical records, 
there is no connection with this criminal theft and the 
military ' s computerized health care records, " 
Winkenwerder said. "Our new health records system, 
known as CHCS-II, has security built into the basic 
design, and security is continually reassessed. Cutting 
edge data encryption and a high level of physical 
protection at a secure government location provide a 
solid security framework to that program. Nonetheless, 
we are taking additional steps to heighten information 
security throughout our health care system. " 
These steps include: 
- A worldwide health care information security 
assessment will be conducted at every military treatment 
facility and contractor location to review existing 
procedures and to ensure physical security of sensitive 
information . 

- A health information security task force 
comprised of DoD and Service medical leaders and 
information system experts will assemble next week, 
consult with TRICARE contractor representatives, and 
recommend any additional requirements for information 

- New health information systems to be introduced 
in the coming months will be compliant with or exceed 
the Health Insurance Portability and Accountability Act 
(HIPAA) legal requirements for protection of patient 
information . 


Beaufort Doc Aids in "Full Accounting" 

By Patricia M. Binns, Naval Hospital Beaufort, S.C. 

BEAUFORT, S.C. - Cmdr. Robert Reuer, Medical Corps, 
Branch Medical Clinic Parris Island returned last month 
from helping resolve mysteries that may give families of 
missing Vietnam War vets peace of mind and closure. 

Reuer spent more than a month with the Missing In 
Action Search Team deployed to Laos under the auspices 
of Joint Task Force - Full Accounting. JTF-FA's mission 
is to account for Americans still missing and 
unaccounted for as a result of the war in Southeast 
Asia . 

Four recovery teams and one investigative team 
conducted excavations at four primary sites in two Laos 
provinces. All four sites involved U.S. aircraft. 

The U.S. Army Central Identification Laboratory in 
Hawaii supports the task force's operations, with 
augmentees from all the military services. 

"My primary mission as a doctor was to keep the 
American teams (at the sites) healthy, " Reuer said. "My 
secondary mission was to deliver humanitarian medical 
treatment to the local citizens . " 

He was assisted by hospital corpsmen and 
technicians assigned to each of the teams. All received 
training prior to the trip on malaria, emergency dental 
conditions, and parasites and bugs indigenous to the 
area . 

Reuer and his ad hoc staff held a clinic every 
other day, assisted by a Laotian official who also 
served as interpreter . Medical supplies and equipment 
were limited, although the teams brought some 
medications, bandages and toothbrushes with them. 

Reuer treated more than 600 patients during his 
time in Laos . 

"It was difficult working with one or more 
interpreters, " said Reuer, "but I continued to ask 
questions until I was satisfied that I received adequate 
information . " 

He diagnosed and treated conditions ranging from 
headaches and backaches to fungal skin conditions and 
malaria. All patients also received a supply of 
vitamins . 

Reuer said that the teams discovered what appeared 
to be a tooth during one of the digs. 

"It felt good; it's why we're here, " Reuer said. 
"It was a very positive experience, " Reuer said. "And, 
it was a unique opportunity to get to see diseases that 
you've only read about and to experience a different 
culture. I'm grateful to my command for supporting my 
participation . " 


50 Selected for Medical Enlisted Commissioning Program 
WASHINGTON - Fifty Sailors will be heading off to 

college soon as this year's selectees for the Medical 

Enlisted Commissioning Program. 

The program identifies promising E-3 to E-7 ' s to 

attend an accredited nursing program. Upon completion 

of a degree, they are commissioned in the Navy Nurse 

Corps . 

The selectees are: 

- Chief Petty Officers Eloise Carey, Michelle 
Guzman Roberts, Rachael Martinez , Ireneo A. Reus, and 
Terry D. Vincent. 

- Petty Officers 1st Class James Bivins, Edward R. 
Cavanaugh, Christoper Davis, Ralph J. DeConti, Brani A 
Epperson, Jose E. Garcia, Robert D. Gibson, LaDonyia, L. 
Graham, Benjamin Hoshour, Karen Lindsay, Richard 
Malicdem, Charlie Manalansan, Jabal L. Marlatt, Joseph 

C. McDonald, Susan D. Noell, Lisa Richardson, Laura A. 
Tate, and Tracey B. Turner. 

- Petty Officers 2nd Class Jackie Bailey, Rachel 
Barraza, Sara Beishir, Keith Blatt, Mark C. Bueno, Brian 
Drzewiecki, Jessica R. Fahl, Micahel Foust, Wylee A. 
Griffin, Christoper Linger, Elaine, P. Medley, Jennifer 
Morrison, Oswald Najera, Carla Newkirk Jones, Melody A. 
O'Connor, Jeremy M. Ray, Justin T. Ray, Loretta 
Richardson, Domenique K. Selby, Jack E. Springer, 
Lonthol Srun, Nicky S. Tomblin, and Lina M. Yecpot . 

- Petty Officers 3rd Class Eve S. Burton, Jeffrey L. 
Ross, Latarya D. Smith, and Erin M. Stewart. 


Aviation Survival Training Center Awarded MUC 

CHERRY POINT, N.C. - Chief of Naval Operations Adm. 
V.E. Clark awarded the Navy's Aviation Survival Training 
Center Cherry Point with the prestigious Meritorious 
Unit Commendation in recognition of their outstanding 
contributions to "the mission and readiness of our Navy 
and Marine Corps team. " 

The center trained more than 2, 050 Marines in the 
Multi-place Underwater Egress Trainer ("The Dunker") and 
the Helicopter Aircrew Breathing Device, an 
unprecedented number. 

ASTC is part of the Naval Operational Medicine 
Institute in Pensacola, Fla. Its staff is Navy Medicine 
professionals specially trained in aviation survival . 

Heading the center is Lt . Cmdr. Jonathan P. Wilcox, 
Medical Service Corps, a naval aerospace physiologist . 


Coastie Completes Navy Dental Training 

By Lt. (j.g.) Joseph Mastrangelo, MSC, Naval Dental 

Center Great Lakes, 111. 

GREAT LAKES, 111 . - In a sea of Navy Blue, one 
uniform stood out at Naval Dental Center Great Lakes ' 
recent personnel inspection . Amidships in the formation 
was Lt. Cmdr. Craig Kluger, U.S. Public Health Service, 
wearing the pale blue of the U.S. Coast Guard. 

Kluger will serve with the Coast Guard, but until 
he reports later this month, Kluger, who just completed 
the Navy's yearlong advanced clinical practice in 
exodontia, is assigned to the dental clinic at Great 
Lakes . 

Kluger, a general practice dentist, received 
specialized training in tooth extractions, post- 
operative care, and biopsies . Additionally, Great 
Lake's Recruit Training Command's patient volume made it 
an ideal location for Kluger to gain experience. In 
just one year, he treated 1,156 patients and extracted 
2,293 teeth. That adds up to a whopping $489,366 worth 
of dentistry . 

"During his time here, Dr. Kluger was one of us, " 
said Cmdr. Milan Pastuovic, Dental Corps, the exodontia 
program director . "This is the best place in the world 
to get exodontia experience, and Dr. Kluger worked hard. 

The Coast Guard will be getting a great exodontist . " 

The clinic's commanding officer, Capt . Richard 
Vinci, Dental Corps, said bringing Kluger to Great Lakes 
for training and experience is a good example of how 
integration can enhance Navy Medicine . 

"We not only benefit from (Kluger ' s) productivity, 
but also from the unique perspective that public health 
service dentists bring with them. Through this 
interaction, our dentists and technicians broaden their 
knowledge base, resulting in better service to our 
patients. It's a definite win-win opportunity." 

When Kluger returns to the Coast Guard, he will be 
that service's only exodontia specialist. 

And he passed his uniform inspection, too. 

Kilted Navy Medicine Analyst Tosses, Throws and Puts 
Bureau of Medicine and Surgery Public Affairs 

THE PENTAGON - It may be the least lady-like of 
sports, yet lit. Linda Kimsey, Medical Service Corps, 
makes sure she always wears a skirt when she competes. 

Kimsey is a top competitor in Scottish heavy 
athletics, a series of seven events that includes the 
stone put, hammer throw, caber toss, and sheaf toss. 
Descriptions of these and other events can go on for 
pages, but it 's enough to say that all involve lifting 
heavy, oddly shaped objects and throwing them as far as 
possible . 

Kimsey 's skirt is really a kilt, and its wearing is 
a requirement for competitors, both men and women. 
Kimsey wears the Navy's official tartan, which 
originated in the district where the now-closed 
Submarine Base Holy Loch Scotland was located. 

Kimsey has been competing for three years, and is 
already the Southeast Amateur Women's Champion. 
Overall, she is ranked third in the country. She holds 
the world record for the 12-pound sheaf toss at 24 feet . 

"I got started when I went to watch a friend of 
mine compete (in the games), " said Kimsey. "I decided 
to give it a try because watching, it looked like too 
much fun to pass up. " 

It only took one game for her to realize heavy 
athletics was her sport . 

"I think about it, train for it almost every day, " 
said Kimsey. "It 's not the sport for everybody, but 
it 's for me. " 

Kimsey will "defend her sword" - the trophy awarded 
to her as the Southeast Amateur Women ' s Championship - 
in April 2003. Her goal is to rise nationally from 
third to second ranking, which may be a possibility if 
she does well . 

"I think I'll do okay," she said. "The second 
ranked woman and I move back and forth between third and 
second, and we're both sneaking up on the number one 
ranked woman . " 

While participation nationwide in heavy athletics 
has increased greatly over the last three years, Kimsey 

said she's met only one other Navy member at the games, 
a SEAL. 

"This is one tough sport, " said Kimsey, "which is 
why I like it so much. " 


Theater Medical Information Program Benefits War Fighter 
From Department of Defense Public Affairs 

The Department of Defense's Theater Medical 
Information Program (TMIP) has added new capabilities 
that will provide special benefits to the war fighter. 
It will now be able to track disease and injury trends, 
and create healthcare alerts in the event of biological 
or chemical attacks. 

TMIP also captures medical records and links 
healthcare in the theater of conflict . These new 
features will be available to the uniformed services 
once testing and evaluation is completed. 

"These capabilities never existed before, and it 
will greatly benefit the war fighter, " said Army Lt . 
Col. Thomas Yingst, TMIP program manager. 

TMIP integrates medical information systems and 
ensures their precise, interoperable support for rapid 
mobilization, deployment and sustainment of all theater 
medical services . TMIP also plays a vital role in force 
health protection by providing critical medical data for 
decision-making . 

"Our focus has been and will continue to be on 
protecting the health of the war fighter and providing 
medical information to theater commanders , " said Yingst . 
"That's what this program is all about, " said Yingst. 

New enhancements are being worked on for future 
software releases, including monitoring patient movement 
and medical regulating capabilities , dental and vision 
support and more. 


TRICARE Handbook Now Interactive 

FALLS CHURCH, VA - The new online TRICARE Handbook 
now has interactive features that will make it even more 
user- friendly . 

The online version, available on the TRICARE Web 
site,, offers a 
search functions that allows either subject or general 
search. It also allows users to jump to specific 
sections of the handbook by using the interactive table 
of contents. 

The TRICARE Handbook may be downloaded in printer- 
friendly format by section or in its entirety . 

Another advantage of the new online interactive 
handbook is changes to the benefit can be included as 
they occur. 


Healthwatch: Surviving Winter's Cold 

By Aveline V. Allen, Bureau of Medicine and Surgery 

WASHINGTON - The cold months means curling up with 

hot chocolate and a good book for many, but should you 
venture outdoors, caution is required to keep you and 
your family safe from winter's cold wrath. 

Frostbite and hypothermia are common dangers for 
those spending time in cold weather. Frostbite 
generally affects extremities and exposed cheeks, ears 
and nose, and has symptoms that include white, waxy or 
grayish-yellow tone skin. Skin may also feel cold and 
numb, and be hard to the touch. 

While most people may be aware that fingers, toes 
and the face should be protected from the cold, one area 
often neglected is the eye. 

"Eye symptoms related to frostbite may include 
sensitivity to light, tearing, blinking, blurred vision, 
and pain with rewarming, " said Lt . Cmdr. Mae M. Pouget, 
Medical Corps, Navy specialty leader for general 
medicine . 

If you suspect frostbite, a trip to the emergency 
room is essential . Untreated frostbite can mean losing 
the extremity. However, the National Safety Council 
(NSC) recommends some basic things you can do until 
medical attention is available: 

- get the victim out of the cold and to a warm 
place right away, 

- remove any clothing that may interfere with 

- place dry sterile gauze between toes and fingers, 
which will absorb moisture and stop them from sticking 

- slightly elevate the affected part to reduce pain 
and swelling. 

Hypothermia occurs when the body loses more heat 
than it produces. Its symptoms may not be as obvious as 
frostbite 's . 

"Subtle symptoms may include hunger, fatigue, 
weakness, dizziness, nausea, and inability to get warm, " 
said Pouget . "Victims may become confused and show poor 
judgment . " 

Some other symptoms of hypothermia include dark and 
puffy skin, uncontrollable shivering, rigid muscles, 
irregular heartbeat, and, in severe cases, 
unconsciousness . 

The NSC recommends the following tips to treat 
hypothermia : 

- as with frostbite, get the victim out of the cold 

- put insulation such as blankets, pillows or 
towels beneath and around the victim, ensuring they are 
in a flat position, 

- cover the victim' s head to reduce further heat 


- remove wet clothing and replace with dry. 

It 's important to handle the victim gently, as 
rough handling may lead to cardiac arrest . 

Pouget 's advice is to take preventive measures 
before going out in the cold. 

"Be sure to wear a hat or other head covering, 

scarf, and gloves or mittens, " she said. Other experts 
recommend wearing loose layers of clothing. 

Other preventive tips Pouget offers include a 
healthy diet; adequate rest; avoidance of alcohol, 
caffeine and tobacco; and drinking plenty of water. She 
also recommends acclimatizing to weather conditions and 
maintaining good physical conditioning . 

For winter sports buffs, Pouget recommends 
investing in appropriate clothing. 

"Synthetic insulated clothing such as Gortex and 
Thinsulate is available for prolonged exposure to the 
cold and winter sports activities , " said Pouget . 

For more information on cold weather safety tips, 


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